Publication: Pneumonia in Patients with Chronic Kidney Disease Admitted to Nephrology Department of a Tertiary Care Center: A Descriptive Cross-sectional Study
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
Introduction: Chronic Kidney Disease is an independent risk factor for pneumonia. The risk of hospitalization, Intensive Care Unit and ventilator requirement, in-hospital death is high in pneumonia patients with chronic kidney disease. This study aims to find the prevalence of pneumonia in patients with chronic kidney disease admitted to nephrology department of a tertiary care center.
Methods: A descriptive cross-sectional study was conducted among all the hospital records of pneumonia patients with Chronic Kidney Disease admitted to the Nephrology department between April 2019 and April 2021. Ethical clearance was obtained from the Institutional Review Committee of same institute (Reference number: 0505202106). Statistical Package for the Social Sciences version 20 was used for analysis. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.
Results: Of the total 407 patients with Chronic Kidney Disease, 78 (19.1%) (95% Confidence Interval= 15.28-22.92) had pneumonia. Among the 78 pneumonia patients, 17 (21.8%) were Stage 3, 13 (16.7%) Stage 4 and 48 (61.5%) Stage 5 of chronic kidney disease. Forty Seven (60.3%) required Intensive Care Unit (ICU), 19 (24.4%) required ventilator and 22 (28.2%) of the patient expired in hospital. The most commonly isolated organisms were Severe Acute Respiratory Syndrome Coronavirus 2 which was 13 (16.6%) followed by Strepotococcus pneumoniae which was 8 (10.2%).
Conclusions: The prevalence of pneumonia in Chronic Kidney Disease was observed higher in our study compared to other studies.
Description
Abhishek Pant
Department of Medicine, Grande International Hospital, Dhapasi, Kathmandu, Nepal
https://orcid.org/0000-0002-5583-9546
Astha Prasai
Department of Medicine, Hospital for Advanced Medicine and Surgery, Dhumbarahi, Kathmandu, Nepal
https://orcid.org/0000-0002-4412-5038
Anmol Kumar Rauniyar
Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
https://orcid.org/0000-0002-0330-8671
Laxman Adhikary
Department of Nephrology, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
Krity Basnet
Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
https://orcid.org/0000-0002-2443-2209
Tunam Khadka
Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
https://orcid.org/0000-0002-6503-3618
Keywords
ckd, pneumonia, hemodialysis